Payment Integrity Manager - Post Payment - Cigna Healthcare - Remote

Cigna

Bloomfield, CT, USA
Base: 87,100 - 145,100 usd / yearly; bonus/equity:...
Post-payment overpayment identification
Claims data analysis
Provider contract knowledge
Lead and develop a high-performing team focused on maximizing internal overpayment identification and recoveries

Job Summary

  • Lead and develop a high-performing team focused on maximizing internal overpayment identification and recoveries.
  • Partner with pre-pay analytics to shift post-payment overpayment opportunities upstream where possible.
  • At The Cigna Group, you’ll enjoy a comprehensive range of benefits, with a focus on supporting your whole health.

Matching Summary

Lead and develop a high-performing team focused on maximizing internal overpayment identification and recoveries.

Salary

Base: 87,100 - 145,100 USD / yearly; Bonus/Equity: Eligible for annual bonus plan; Benefits: Comprehensive benefits including medical, vision, dental, 401(k), PTO, paid holidays

Skills & Requirements

Must-have

  • Post-payment overpayment identification
  • Claims data analysis
  • Provider contract knowledge
  • Reimbursement policy knowledge
  • Claim operations expertise
  • Vendor management

Nice-to-have

  • Cross-functional collaboration
  • Stakeholder partnership
  • Challenging the status quo
  • People strategy development

Key Requirements

  • 5+ years of experience leading operations teams
  • 5+ years of experience managing large data sets
  • Claim auditing experience required
  • Bachelor’s degree or higher strongly preferred or equivalent work experience

Work Rights

Not specified

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